Daily CME Tips: Your Last CME Allowance Dollars, Second Course or Paid Gift Card Add-On? How Either Choice Pairs With a PANRE Review Course Worth 100 Category 1 AAPA Credits

PANRE Review Course: $499.99 for 30 months of access.
Practice questions: 2,500+ board-style questions: 15 body-system modules with 1,810 questions, plus five full-length 240-question mock exams (1,200 questions total). Includes a rationale and cited sources for each question, with explanations rewritten to 2023–2025 guidelines.
Also included: 10+ hours of high-yield video lectures with downloadable slides, and a PANRE Readiness Dashboard.
Guarantee: Money-back guarantee if you don’t pass on your first attempt when you purchase the full course; see terms.
CME: Up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module.
Gift card warning: Amazon and Apple gift card add-ons from $100 to $1,500 are paid add-ons that increase your purchase price. They are not free gifts.

If you’re using the last of your CME allowance for the year, the question may not be whether you need more education. You may already have a plan for that. It may be how to use the remaining dollars when they won’t cover another full course. You can put them toward another course and access an automatic multi-course discount, add a paid gift card to your course purchase, or consider doing both.

Year-end allowance math: add another course, a gift card, or both?

A second course can make sense if you want more clinical review content. When you buy two or more eligible CME courses, 20% comes off every course automatically. For example, two $499.99 courses total $999.98 before the discount. With 20% off the course prices, the total is $799.98.

If your remaining allowance won’t cover another full course, a paid gift card add-on is a different way to put the dollars to work. It lets you purchase an Amazon or Apple gift card in the same transaction as your course. That can be useful if you already expect to spend on practice-related educational extras, such as books, devices, or subscriptions.

Be clear about the tradeoff: a gift card add-on is not a discount, bonus, or free money. You pay the card’s face value. Here’s a quick comparison:

Choice	What it costs	What you get
Add a paid gift card add-on	Course price + add-on at face value; no discount on the card	An Amazon or Apple gift card by email, plus your course
Buy a second course	Two courses trigger the automatic 20% discount on every course	More course content, including additional Category 1 content where offered
Both together	Discounted course prices + gift card add-on at face value	A course bundle plus a gift card

There is no universally right choice. Consider how much allowance you have left, whether you need more CME credit, and what your employer’s policy allows.

CME gift cards: how the paid add-on actually works at checkout

At checkout, choose Amazon or Apple and select a gift card tier from $100 to $1,500. The add-on price is added to your order total, and the entire purchase runs through your CME funds in one transaction. The add-on does not reduce the price of the course or card.

Gift cards are emailed within 2–3 business days; you do not have to finish the course first. Gift card packages are nonrefundable once the card is emailed. The gift card add-on itself earns no CME credit; credit is earned through the PANRE Clinical Review Module, subject to its completion requirements.

Check your employer’s CME policy before checkout. Some plans cover only the course, so confirm whether your allowance can be used for a paid gift card add-on. CME Review Courses is not affiliated with Amazon or Apple. If you buy multiple courses, the automatic 20% discount applies to the course prices; gift card add-ons stay at face value.

How the PANRE review course supports recertification prep

The PANRE Review Course with gift card add-on supports study for PANRE and PANRE-LA. Its credit is earned through the PANRE Clinical Review Module, an Enduring Material activity within Comprehensive Clinical Review for Practicing PAs: 2026–27 Enduring CME Activity. The module’s AAPA reference number is CME-2016187, and its approval is valid from 8/26/2026 to 8/26/2027.

The course combines board-style practice with a study library, system-based video lectures, downloadable slides, and performance tracking. You can use the readiness dashboard to identify topics that may need more review and work through practice questions with cited rationales. For a free preview, try the PANRE review test drive.

If you’re a PA student or shopping for pance prep courses, you can also try PAtopia’s free web test drive, or explore the PAtopia iOS app and Google Play app.

Clinical vignette: Endocrine module

Your patient is a 44-year-old woman with known Graves’ disease who stopped methimazole two weeks ago because of cost. She arrives febrile to 102.5°F, tachycardic to 148 with an irregularly irregular rhythm, agitated and disoriented, with warm, moist skin and a fine tremor. Her sister reports that she has had a cough and fever for three days.

What is the next best step?

• (A) Urgent hospital admission for management of thyroid storm, with beta-blockade and antithyroid therapy as part of inpatient care
• (B) Resume methimazole at home and follow up with endocrinology next week
• (C) Antipyretics and outpatient workup of the cough
• (D) Radioactive iodine ablation as the immediate treatment

Correct answer: (A) Urgent hospital admission for management of thyroid storm, with beta-blockade and antithyroid therapy as part of inpatient care. Fever, altered mental status, and a rapid tachyarrhythmia in a patient with thyrotoxicosis indicate a medical emergency requiring admission and multimodal inpatient management.

• (B) Resuming methimazole as an outpatient understates the decompensation. Fever, delirium, and tachyarrhythmia in a thyrotoxic patient require urgent evaluation and treatment.
• (C) Antipyretics may address fever, but they do not treat the underlying thyrotoxic crisis.
• (D) Radioactive iodine is a long-term definitive treatment, not acute storm management, and is generally deferred in the acute setting.

Exam note: Fever plus agitation plus a rapid irregular rhythm in a thyrotoxic patient is the signal for storm-level management. Think admission and multimodal inpatient therapy, not outpatient tinkering. The course’s Endocrine module includes 65 questions, where you can practice exactly this kind of stem.

CME and recertification caveats

The up-to-100-credit designation applies to the PANRE Clinical Review Module, not the Pharmacology course. The 468.75-credit figure shown on the product page is a program-level designation covering the full 14-module program; it does not describe the PANRE module’s credit amount.

Claim only credit commensurate with your participation. Review all module content, pass the module post-test with a score of 70% or higher, and complete the activity evaluation. Missed questions may be retaken. Your certificate states the precise credit earned.

PAs may log AAPA Category 1 CME toward NCCPA requirements as permitted by NCCPA policy and should continue meeting their CME requirements. Nurse practitioners should check with their state board of nursing because acceptance of AAPA Category 1 credit varies by state. The activity meets AAPA Category 1 requirements; for physicians’ own reporting, it counts as Category 2.

For NCCPA recertification rules and current dates, use the NCCPA Maintain Certification page and NCCPA Key Dates page as the sources of truth.

Author

Jeremy Boroff, MPAS, PA-C is an Emergency Medicine PA with 24 years of clinical experience, a PA educator, author, and CME developer. He is the sole faculty member for this activity and has no relevant financial relationships to disclose.